益氣養血法治療虛證高血壓病例報告

Qi Supplementing and Blood Nourishing Method for Hypertension of Deficiency Syndrome: A Case Report

謝瓊慧(Chiung-Hui Hsieh)

《台灣中醫臨床醫學雜誌》 15卷1期 (2009/03) Pp. 33-38

https://doi.org/10.6968/TJCCM.200903.0033

摘要

本文報告一位41歲女性，主訴爲頭暈、頭痛半個月及月經三個多月未至，經詳細診察後，診斷爲高血壓及經閉，中醫辨證爲氣血虧虛兼夾肝鬱之證，採用益氣養血舒肝法治療，給予逍遙散合人參養榮湯爲主方加味，經治療後頭暈頭痛改善、血壓漸趨正常且月經復行。顯示高血壓中醫辨證除常見的肝火熾盛、肝陽上亢、陰虛陽亢、陰陽兩虛、痰濁中阻等證型外，尚有氣血虧虛之證，採用益氣養血之法治療有其成效。此外，中醫辨證施治治療虛證高血壓，除血壓的控制之外，更有改善全身症狀及調節體質的優勢，只要辨證準確，不必顧忌使用補益之劑。

關鍵字

虛證高血壓 ； 經閉 ； 氣血兩虛 ； 益氣養血法 ； 人參養榮湯

並列摘要

A 41 y/o female complained about dizziness and headache for 2 weeks and no period for 3 months. The patient was diagnosed with hypertension and amenorrhea of deficient qi and blood and liver stagnation. Treatment of supplementing qi, nourishing blood and soothing liver is used with modified XiaoYaoSan plus RenShenYangRongTang. Dizziness and headache is improved, blood pressure is close to normal, and period is functioning after treatment. This indicates deficiency of qi and blood can be one of the patterns of hypertension other than faring-up of liver fire, exuberant lifer yang, yin deficiency and yang excess, deficiency of yin and yang and obstruction of phlegm. On top of controlling blood pressure, TCM treatment can also improve overall symptoms and regulate constitution. Herbs of supplementing nature can be used as long as diagnosis is accurate.

並列關鍵字

hypertension of deficiency pattern ； amenorrhea ； deficiency of qi and blood ； qi supplementing and blood nourishing ； RenShenYangRongTang